D.R., a 51-year-old woman, has been having sudden feelings of warmth over her chest accompanied by a patchy flushing of her skin and increased sweating for the past month, especially after drinking coffee or wine or if she is upset. She now visits her physician because she has been waking up shivering from a perspiration-drenched gown nightly for the past week. D.R. does not take any medications. She has not had a menstrual period for at least 6 months; her physical examination was normal for a 51-year-old woman. 1. What is the possible problem/diagnosis in D.R.? D.R. has tried lifestyle modifications for management of her hot flushes without much relief. Her physician is recommending hormone therapy. 2. What are the possible risks with hormone therapy?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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23
Case 2:
D.R., a 51-year-old woman, has been having sudden feelings of warmth over her chest
accompanied by a patchy flushing of her skin and increased sweating for the past month,
especially after drinking coffee or wine or if she is upset. She now visits her physician because
she has been waking up shivering from a perspiration-drenched gown nightly for the past week.
D.R. does not take any medications. She has not had a menstrual period for at least 6 months;
her physical examination was normal for a 51-year-old
man.
1. What is the possible problem/diagnosis in D.R.?
D.R. has tried lifestyle modifications for management of her hot flushes without much relief.
Her physician is recommending hormone therapy.
2. What are the possible risks with hormone therapy?
Transcribed Image Text:23 Case 2: D.R., a 51-year-old woman, has been having sudden feelings of warmth over her chest accompanied by a patchy flushing of her skin and increased sweating for the past month, especially after drinking coffee or wine or if she is upset. She now visits her physician because she has been waking up shivering from a perspiration-drenched gown nightly for the past week. D.R. does not take any medications. She has not had a menstrual period for at least 6 months; her physical examination was normal for a 51-year-old man. 1. What is the possible problem/diagnosis in D.R.? D.R. has tried lifestyle modifications for management of her hot flushes without much relief. Her physician is recommending hormone therapy. 2. What are the possible risks with hormone therapy?
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